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Insurance Claims Resolution Specialist

3 weeks ago


Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Malaysia Full time

At Allianz Malaysia, we are committed to providing our customers with the best possible service. As a Claims Examiner, you will play a crucial role in ensuring that claims are assessed and settled efficiently and fairly.

About the Role

This is an exciting opportunity for a customer-focused individual who is passionate about delivering exceptional service. You will be responsible for assessing quantum of claims, conducting negotiations on claims settlement, identifying potential fraud claims, and reviewing policy liability.

  • Assess quantum of claims based on documentation and reports from insured, solicitors, underwriters, agents, brokers, etc.
  • Conduct negotiation on claims settlement with workshop, third-party, and insured parties.
  • Identify potential fraud claims through system and manual triggers, and review policy liability.
Responsibilities
  • Attend to claims queries from customers, TP, agents, brokers, branches, and claims hubs.
  • Obtain necessary claims documents from insured, solicitors, underwriters, agents, brokers, etc.
  • Assess claims based on documents/reports that support claims, i.e., medical, police, survey, sketch plan.
  • Offer settlement to workshop, third-party, and insured parties.
  • Proceed investigation and mediate complaints with resolutions.